Image-Guided Spinal Injections

Targeted Relief for Spinal Pain

Description of Image-Guided Spinal Injections

A CT-guided perineurial/epidural or facet joint injection involves injecting a steroid and/or local anaesthetic into a selected exiting/exited spinal nerve root, the epidural space (for canal stenosis), or spinal facet joints (small paired joints at the back of the spine). This procedure can provide symptom relief and may also aid in diagnosing and localising the source of the symptoms. Symptom relief from the injection can be complete or partial, long-lasting or temporary.

Information Required at Booking

When booking your procedure, please inform us if any of the following apply to you:

What to Bring to Your Appointment

Please bring the following to your appointment:


Please inform us if you are taking blood thinning medication (such as aspirin, Plavix, warfarin, or clexane), as this may need to be ceased for several days prior to your injection.


A consultation will take place prior to the procedure, during which the risks and benefits will be discussed. Informed consent will be obtained. Depending on the region of the spine targeted, you will be positioned on the CT table on your back, on your stomach, or on your side in a comfortable position. The radiologist will then sterilise the skin area using chlorhexidine or Betadine, administer local anaesthesia, and, under CT guidance, gradually advance a fine needle to the target area. The needle’s position will be confirmed using positive or negative contrast, and then a mixture of cortisone and local anaesthesia will be injected.

Common Risks and Complications

Complications can include:

Less common complications

Less common complications include

The results of your scan will be forwarded to your clinician.


This service is offered at the following locations:

Contact Us

Should you have any questions or require any assistance, please don’t hesitate to get in touch. Our team is committed to supporting you and your patients every step of the way.